NPI | 1417045295 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R24536) |
Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: ND R24536) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2007-07-08 |