NPI | 1821314659 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA AP05963) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA AP05963) |
Enumeration Date | 2010-04-19 |
Last Update Date | 2024-06-03 |