NPI | 1295082568 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08787) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN122253) |
Enumeration Date | 2012-08-06 |
Last Update Date | 2016-06-29 |