NPI | 1568478550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA AP01767) |
Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: LA AP01767) |
363LF0000X Nurse Practitioner, Family (Licence: LA AP01767) | |
Enumeration Date | 2006-07-31 |
Last Update Date | 2008-02-15 |