NPI | 1760734057 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9430453) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 14766-33) |
363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95033094) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5005815) | |
Enumeration Date | 2012-10-10 |
Last Update Date | 2025-03-07 |