NPI | 1639326747 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WV 95219) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 752404) |
Enumeration Date | 2008-08-20 |
Last Update Date | 2016-12-13 |