NPI | 1457691032 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP012976) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0990446-NP) |
Enumeration Date | 2013-02-19 |
Last Update Date | 2019-03-29 |