NPI | 1700848629 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN214902L) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP005013B) |
Enumeration Date | 2006-04-05 |
Last Update Date | 2007-07-08 |