NPI | 1225439870 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA sp04094) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA rn584755) |
Enumeration Date | 2014-09-12 |
Last Update Date | 2014-09-12 |