NPI | 1033281613 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 110621) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A-104191) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2013-12-23 |