NPI | 1588724017 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024162362) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0001162362) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2007-07-08 |