NPI | 1437470135 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 263843) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1008498) |
Enumeration Date | 2010-06-16 |
Last Update Date | 2014-08-25 |