NPI | 1588826077 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: NM CNP01024) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R43725) |
Enumeration Date | 2008-06-26 |
Last Update Date | 2012-05-16 |