NPI | 1740588516 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA AP07572) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY f305607-1) |
Enumeration Date | 2011-03-03 |
Last Update Date | 2015-01-09 |