NPI | 1255768966 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005047A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010671) |
Enumeration Date | 2013-09-26 |
Last Update Date | 2016-06-30 |