NPI | 1730547878 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5008375) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 184549) |
Enumeration Date | 2016-02-03 |
Last Update Date | 2016-03-30 |