NPI | 1548664592 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0000892) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN626519) |
363LF0000X Nurse Practitioner, Family (Licence: PA SP014399) | |
Enumeration Date | 2014-10-20 |
Last Update Date | 2016-04-29 |