NPI | 1366772089 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP05982) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA RN097521) |
Enumeration Date | 2009-12-31 |
Last Update Date | 2011-01-11 |