NPI | 1528234085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 3471-33) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: WI 151449-30) |
Enumeration Date | 2008-05-05 |
Last Update Date | 2011-08-09 |