NPI | 1538309687 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO NP-990129) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 181628) |
Enumeration Date | 2009-03-03 |
Last Update Date | 2016-09-13 |