NPI | 1508900812 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV APRN001506) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R171386) |
Enumeration Date | 2007-02-19 |
Last Update Date | 2014-07-10 |