NPI | 1841448453 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP7502) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO RN-173601) |
Enumeration Date | 2008-09-08 |
Last Update Date | 2020-11-13 |