NPI | 1144307810 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A054268) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R 192600-2) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2016-03-21 |