NPI | 1366682700 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08230) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209007497) |
Enumeration Date | 2009-02-25 |
Last Update Date | 2015-11-09 |