NPI | 1639298417 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ RNP 2505) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AK 418) |
363LA2200X Nurse Practitioner, Adult Health (Licence: AZ RN134507) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: AK 16903) | |
Enumeration Date | 2007-03-29 |
Last Update Date | 2007-07-08 |