NPI | 1518155837 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 200950002NP) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: PA SP009483) |
363LF0000X Nurse Practitioner Family (Licence: PA SP009646) | |
Enumeration Date | 2007-10-11 |
Last Update Date | 2011-09-09 |