NPI | 1194758359 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 039698-23-03) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000013549) |
Enumeration Date | 2006-07-09 |
Last Update Date | 2014-05-06 |