NPI | 1497947717 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS R871604) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA APO5313) |
Enumeration Date | 2007-08-10 |
Last Update Date | 2017-10-23 |