NPI | 1811180151 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 110883) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 57585) |
363L00000X Nurse Practitioner (Licence: IA H-123323) | |
Enumeration Date | 2007-08-21 |
Last Update Date | 2020-01-22 |