NPI | 1295917177 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA TP005911-B) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA TP005911B) |
Enumeration Date | 2007-12-03 |
Last Update Date | 2013-05-23 |