NPI | 1821492893 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5007270) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 363LA2200x) |
Enumeration Date | 2014-10-20 |
Last Update Date | 2020-10-27 |