NPI | 1134551831 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: LA AP07427) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07427) |
Enumeration Date | 2013-08-05 |
Last Update Date | 2016-07-29 |