NPI | 1407810005 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 101053) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 2631) |
Enumeration Date | 2006-04-12 |
Last Update Date | 2012-03-20 |