NPI | 1134330715 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R088791) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN48990) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2014-04-14 |