NPI | 1700199478 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NM CNP-02908) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM RN-83725) |
Enumeration Date | 2010-07-22 |
Last Update Date | 2023-10-06 |