NPI | 1245695246 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 243547) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008268) |
Enumeration Date | 2015-12-18 |
Last Update Date | 2016-01-18 |