NPI | 1326366246 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP015065) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN273637) |
Enumeration Date | 2010-05-17 |
Last Update Date | 2017-05-11 |