NPI | 1558600528 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07221) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA TAP003037) |
Enumeration Date | 2013-02-11 |
Last Update Date | 2013-02-21 |