NPI | 1033312889 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R170678) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN1002726) |
Enumeration Date | 2007-06-08 |
Last Update Date | 2010-10-01 |