NPI | 1568588176 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 2283) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 53057) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2015-03-19 |