NPI | 1518267533 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 15399) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 162329) |
Enumeration Date | 2010-10-25 |
Last Update Date | 2017-02-02 |