NPI | 1679628150 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 5034) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP2735) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2013-04-17 |