NPI | 1407816754 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 81186) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC APN 422) |
Enumeration Date | 2006-03-23 |
Last Update Date | 2007-07-08 |