NPI | 1063583888 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV 44422) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 07539) |
363L00000X Nurse Practitioner (Licence: PA SP010093) | |
Enumeration Date | 2006-11-13 |
Last Update Date | 2013-11-04 |