NPI | 1053492041 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 3388492) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 722453) |
363L00000X Nurse Practitioner (Licence: WA 30007794) | |
363LF0000X Nurse Practitioner, Family (Licence: TN 12832) | |
363LF0000X Nurse Practitioner, Family (Licence: AR 03033) | |
363LF0000X Nurse Practitioner, Family (Licence: LA 05082) | |
Enumeration Date | 2006-10-18 |
Last Update Date | 2008-02-05 |