NPI | 1669743621 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 4746) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 4746) |
Enumeration Date | 2012-01-24 |
Last Update Date | 2013-02-26 |