NPI | 1235409764 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R31176) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: ND R31176) |
Enumeration Date | 2011-12-30 |
Last Update Date | 2011-12-30 |