NPI | 1750515649 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA GAA-NP000964) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0017162) |
363LA2200X Nurse Practitioner, Adult Health (Licence: DE LB-0000225) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: MD AC001270) | |
Enumeration Date | 2009-05-07 |
Last Update Date | 2022-11-14 |