NPI | 1508058728 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 201305) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC 091405) |
Enumeration Date | 2007-08-12 |
Last Update Date | 2013-07-23 |