NPI | 1184676009 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 75406) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA F08051111) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2008-02-06 |