NPI | 1619978764 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 118943-030) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 0371758-21) |
Enumeration Date | 2005-08-10 |
Last Update Date | 2007-07-08 |