NPI | 1922001536 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 092007010N3) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 092007010N3) |
Enumeration Date | 2005-05-27 |
Last Update Date | 2021-03-22 |