NPI | 1295989119 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 63250) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 63250) |
Enumeration Date | 2008-11-05 |
Last Update Date | 2010-12-06 |