NPI | 1053627406 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-149559) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 110731) |
Enumeration Date | 2010-08-24 |
Last Update Date | 2016-11-22 |