NPI | 1215973227 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R223457) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30007354) |
Enumeration Date | 2006-06-20 |
Last Update Date | 2018-03-15 |