NPI | 1427295765 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP008574) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP008433) |
Enumeration Date | 2009-01-08 |
Last Update Date | 2009-01-08 |