NPI | 1083918445 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 23515) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-1255) |
363LF0000X Nurse Practitioner, Family (Licence: MD R173553) | |
Enumeration Date | 2010-12-28 |
Last Update Date | 2014-03-05 |