NPI | 1275811549 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201601936NP-PP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2264435) |
Enumeration Date | 2011-08-03 |
Last Update Date | 2016-07-19 |