NPI | 1942608450 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-137379) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-137379) |
Enumeration Date | 2014-12-15 |
Last Update Date | 2015-01-13 |