NPI | 1922099274 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM R40325) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NM R40325) |
Enumeration Date | 2005-11-03 |
Last Update Date | 2016-05-16 |