NPI | 1689939332 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA AP06948) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: LA AP06948) |
Enumeration Date | 2012-07-09 |
Last Update Date | 2012-07-09 |