NPI | 1518086156 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA TP003454C) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NN08489500) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2017-02-06 |