NPI | 1942261003 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 025118-23-05) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NH 025118-23-05) |
363LA2200X Nurse Practitioner Adult Health (Licence: VT 0091190) | |
Enumeration Date | 2006-03-29 |
Last Update Date | 2012-12-08 |