NPI | 1497171425 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: SC 34862) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC APN-TP 19170) |
Enumeration Date | 2014-03-14 |
Last Update Date | 2014-11-05 |