NPI | 1457504524 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002947A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209007298) |
Enumeration Date | 2008-11-03 |
Last Update Date | 2016-08-10 |