NPI | 1447359138 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP00153) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NM R14939) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2018-03-21 |