NPI | 1578812038 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL A0312081) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-053151) |
Enumeration Date | 2012-08-30 |
Last Update Date | 2015-09-17 |