NPI | 1609804061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: DE LB-0000236) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: PA SP003309C) |
Enumeration Date | 2006-06-28 |
Last Update Date | 2011-10-17 |