NPI | 1427490275 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07331) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN122832) |
Enumeration Date | 2013-07-22 |
Last Update Date | 2013-07-22 |