NPI | 1881702009 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 065958-23) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 169298) |
Enumeration Date | 2006-08-28 |
Last Update Date | 2012-07-24 |