NPI | 1841353752 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 791119) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71002245A) |
Enumeration Date | 2006-12-19 |
Last Update Date | 2014-03-18 |