NPI | 1780704460 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LB-0000198) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0028541) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2019-09-10 |