NPI | 1235177593 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 200797) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 200797) |
Enumeration Date | 2006-06-02 |
Last Update Date | 2016-12-07 |