NPI | 1598815243 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R066975) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN1008386) |
Enumeration Date | 2007-01-12 |
Last Update Date | 2007-07-08 |