NPI | 1104068824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA RN077111) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA AP05760) |
Enumeration Date | 2009-03-26 |
Last Update Date | 2009-11-02 |