NPI | 1730230152 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 200450139NP) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30004942) |
363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP13179) | |
Enumeration Date | 2007-01-13 |
Last Update Date | 2015-07-17 |