NPI | 1629197660 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 1594 APNP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 1594) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2015-01-21 |