NPI | 1992905673 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 21485) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9304930) |
363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30007741) | |
Enumeration Date | 2007-07-20 |
Last Update Date | 2012-03-30 |