NPI | 1801913801 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 0900036) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 900035) |
Enumeration Date | 2007-03-23 |
Last Update Date | 2008-05-01 |