NPI | 1558593368 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9299783) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 167687) |
Enumeration Date | 2009-08-12 |
Last Update Date | 2012-10-09 |