NPI | 1871041657 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: PA SP019087) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: GA RN162091) |
Enumeration Date | 2016-09-21 |
Last Update Date | 2018-10-31 |