NPI | 1518925007 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP-02905) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024113734) |
163W00000X Registered Nurse (Licence: NM RN-83664) | |
Enumeration Date | 2006-05-03 |
Last Update Date | 2017-08-17 |