NPI | 1255491841 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R066241) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN43768) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2012-12-06 |