NPI | 1407285851 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 111619) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 46490) |
Enumeration Date | 2013-11-06 |
Last Update Date | 2014-06-18 |