NPI | 1205827326 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 181370) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 201679) |
Enumeration Date | 2005-10-31 |
Last Update Date | 2015-10-14 |