NPI | 1679913115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP07330) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN119235) |
Enumeration Date | 2013-06-28 |
Last Update Date | 2013-06-28 |