NPI | 1629203005 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA 05950) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60698861) |
163W00000X Registered Nurse (Licence: LA 81823) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95008785) | |
Enumeration Date | 2009-05-28 |
Last Update Date | 2021-04-22 |