NPI | 1104960012 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000965) |
Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: DE L10028251) |
Enumeration Date | 2007-02-16 |
Last Update Date | 2018-03-28 |