NPI | 1407295090 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE L10040239) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LJ0000283) |
Enumeration Date | 2013-06-18 |
Last Update Date | 2013-06-18 |