NPI | 1326244260 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A002993) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A02993ANP) |
Enumeration Date | 2007-06-26 |
Last Update Date | 2015-01-21 |