NPI | 1699802637 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 161915) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ ap4428) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2012-11-28 |