NPI | 1326214982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP000939) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R034054) |
Enumeration Date | 2008-05-05 |
Last Update Date | 2015-04-28 |