NPI | 1225339344 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 5737-33) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 164005-30) |
Enumeration Date | 2010-11-05 |
Last Update Date | 2015-10-07 |