NPI | 1598790248 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004618) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 235606) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2010-09-20 |