NPI | 1275805335 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R200507) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9279466) |
363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000607) | |
Enumeration Date | 2012-02-06 |
Last Update Date | 2013-10-10 |