NPI | 1144518945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP011372) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN590623) |
163W00000X Registered Nurse (Licence: MD R133968) | |
363L00000X Nurse Practitioner (Licence: PA SP011372) | |
Enumeration Date | 2011-07-13 |
Last Update Date | 2011-07-13 |