NPI | 1669750444 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP06569) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA RN115709) |
Enumeration Date | 2011-07-28 |
Last Update Date | 2014-02-11 |