NPI | 1841661832 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP014919) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5008886) |
Enumeration Date | 2015-10-15 |
Last Update Date | 2018-05-18 |