NPI | 1285049015 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07919) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA AP07919) |
Enumeration Date | 2014-07-01 |
Last Update Date | 2014-08-13 |