NPI | 1033396882 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R170775) |
Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: MD R170775) |
Enumeration Date | 2008-01-23 |
Last Update Date | 2018-06-05 |