NPI | 1154481653 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R146981) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN68360) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2007-07-08 |