NPI | 1750669537 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024110321) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024110321) |
Enumeration Date | 2011-07-28 |
Last Update Date | 2011-07-28 |