NPI | 1164736781 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R207325) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN1010169) |
Enumeration Date | 2010-08-06 |
Last Update Date | 2015-06-19 |