NPI | 1497904643 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN 214873) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024167986) |
Enumeration Date | 2008-09-11 |
Last Update Date | 2012-01-25 |