NPI | 1679919765 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5007636) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5007636) |
Enumeration Date | 2013-05-15 |
Last Update Date | 2016-05-31 |