NPI | 1821506817 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AR A005402) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A005402) |
Enumeration Date | 2018-01-12 |
Last Update Date | 2018-12-19 |