NPI | 1821315904 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024168539) |
Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MD AC000765) |
Enumeration Date | 2010-04-28 |
Last Update Date | 2014-12-29 |