NPI | 1578508511 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WY 37252.1493) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 518267) |
Enumeration Date | 2006-06-16 |
Last Update Date | 2016-03-08 |