NPI | 1487713111 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN 1155) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP524838) |
Enumeration Date | 2006-12-08 |
Last Update Date | 2011-11-04 |