NPI | 1053785477 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R180395) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R180395) |
Enumeration Date | 2015-11-23 |
Last Update Date | 2016-02-09 |