NPI | 1699771428 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R146338) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP008493) |
Enumeration Date | 2005-06-27 |
Last Update Date | 2008-09-09 |