NPI | 1285623124 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA TP000590A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA TP000590A) |
Enumeration Date | 2005-10-13 |
Last Update Date | 2009-01-27 |