NPI | 1578798807 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR PO1111) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R30788) |
Enumeration Date | 2009-05-15 |
Last Update Date | 2009-05-15 |