NPI | 1659441848 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 3104602) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP3104602) |
Enumeration Date | 2006-11-08 |
Last Update Date | 2011-07-26 |