NPI | 1427289511 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 201150006NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ME AP091027) |
Enumeration Date | 2009-08-06 |
Last Update Date | 2018-08-29 |