NPI | 1871854091 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP011946) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP011946) |
Enumeration Date | 2012-06-05 |
Last Update Date | 2016-08-26 |