NPI | 1225021199 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024171902) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 5498) |
Enumeration Date | 2005-08-25 |
Last Update Date | 2015-02-02 |