NPI | 1356587786 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 151536) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 46232) |
363LF0000X Nurse Practitioner, Family (Licence: MO 151536) | |
363LF0000X Nurse Practitioner, Family (Licence: AR A03180ANP) | |
363LF0000X Nurse Practitioner, Family (Licence: OK R 91963) | |
Enumeration Date | 2009-01-07 |
Last Update Date | 2016-02-04 |