NPI | 1174662290 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP05001) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 747107) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2009-08-13 |