NPI | 1174930994 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024092554) |
Additional Taxonomies | 364SP1700X Clinical Nurse Specialist, Perinatal (Licence: VA 0015000310) |
Enumeration Date | 2014-07-14 |
Last Update Date | 2014-07-14 |