NPI | 1114349446 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201400016NP-PP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A117901) |
Enumeration Date | 2014-01-06 |
Last Update Date | 2014-01-06 |