NPI | 1912334269 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD AC000895) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001082927) |
363LA2200X Nurse Practitioner, Adult Health (Licence: DC 43498) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024082927) | |
Enumeration Date | 2013-10-02 |
Last Update Date | 2013-10-02 |