NPI | 1992891774 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 002586) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 002586) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2012-10-02 |