NPI | 1508902412 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP00782) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R36488) |
Enumeration Date | 2007-01-29 |
Last Update Date | 2014-09-29 |