NPI | 1841267309 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: UT 1966054405) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: UT 1966058900) |
Enumeration Date | 2006-03-03 |
Last Update Date | 2007-07-08 |