NPI | 1083035083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2013041169) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 76206) |
Enumeration Date | 2013-12-18 |
Last Update Date | 2014-01-18 |