NPI | 1396778247 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 5813) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 81-0149) |
363L00000X Nurse Practitioner (Licence: AR A01917) | |
Enumeration Date | 2006-07-07 |
Last Update Date | 2007-10-24 |