NPI | 1316229842 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006653A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO NP-990202) |
Enumeration Date | 2011-09-11 |
Last Update Date | 2017-03-13 |