NPI | 1043234230 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 497) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 8530) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2014-01-14 |