NPI | 1316013352 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 1429) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 1429) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2016-12-08 |