NPI | 1811392103 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024175395) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201500384NP-PP) |
363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704288222) | |
Enumeration Date | 2014-10-29 |
Last Update Date | 2024-01-10 |