NPI | 1790035459 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LB-0000271) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LB0000271) |
163W00000X Registered Nurse (Licence: DE L1-0033254) | |
Enumeration Date | 2012-09-10 |
Last Update Date | 2021-03-26 |