NPI | 1619995461 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9303710) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704263736) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2012-01-11 |