NPI | 1487026928 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN1039110) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1039110) |
Enumeration Date | 2015-10-23 |
Last Update Date | 2018-04-17 |