NPI | 1568479079 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NM R14032) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 200450012NP-ANP-PP) |
363LA2200X Nurse Practitioner, Adult Health (Licence: AZ RN101932) | |
363LF0000X Nurse Practitioner, Family (Licence: NM R14032) | |
Enumeration Date | 2006-08-01 |
Last Update Date | 2013-06-05 |