NPI | 1851726707 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: AZ 285556) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: OR 202200722NP) |
363LA2200X Nurse Practitioner Adult Health (Licence: GA 2013010948) | |
Enumeration Date | 2013-09-11 |
Last Update Date | 2023-09-25 |