NPI | 1508252644 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AR A004421) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AR AG0215073) |
Enumeration Date | 2015-04-15 |
Last Update Date | 2022-04-12 |