NPI | 1033446422 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R164557) |
Additional Taxonomies | 163WX0106X Registered Nurse, Occupational Health (Licence: MD R164557) |
363LX0106X Nurse Practitioner, Occupational Health (Licence: DC RN1006369) | |
Enumeration Date | 2009-11-06 |
Last Update Date | 2013-02-06 |