NPI | 1114111978 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R899737) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 734342) |
Enumeration Date | 2007-09-04 |
Last Update Date | 2016-03-25 |