NPI | 1386777878 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP00494) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R26153) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2017-08-17 |