NPI | 1093033102 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID NP978A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID N36247) |
Enumeration Date | 2010-05-13 |
Last Update Date | 2012-08-19 |