NPI | 1508908955 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: DE L1-0015394) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000130) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2007-07-08 |