NPI | 1306977483 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 189142) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 640191) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2013-09-24 |