NPI | 1194932343 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R143714) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R143714) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2015-10-23 |