NPI | 1477005833 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP017073) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN52864L) |
Enumeration Date | 2016-11-01 |
Last Update Date | 2017-01-20 |