NPI | 1578832200 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 4701-33) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 4701-33) |
Enumeration Date | 2011-12-27 |
Last Update Date | 2013-10-18 |