NPI | 1497837959 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 063677) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 063677) |
Enumeration Date | 2006-10-20 |
Last Update Date | 2010-01-25 |