NPI | 1235307463 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG0000105) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L10015578) |
Enumeration Date | 2008-02-11 |
Last Update Date | 2011-09-27 |