NPI | 1285688911 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 07305) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170345) |
Enumeration Date | 2006-05-19 |
Last Update Date | 2015-05-01 |