NPI | 1447589825 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02207) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NM RN-83674) |
Enumeration Date | 2009-12-15 |
Last Update Date | 2018-03-02 |