NPI | 1750521225 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP7901) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN131680) |
Enumeration Date | 2009-02-24 |
Last Update Date | 2015-09-18 |