NPI | 1114934684 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R127498) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN655903) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2014-05-28 |