NPI | 1356538631 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 17060) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F3355121) |
Enumeration Date | 2007-10-01 |
Last Update Date | 2016-02-24 |