NPI | 1598001927 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5005976) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 214075) |
Enumeration Date | 2012-12-12 |
Last Update Date | 2013-04-16 |