NPI | 1558343590 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024167410) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NY 0001177617) |
Enumeration Date | 2005-11-16 |
Last Update Date | 2007-07-30 |