NPI | 1699911255 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07500) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R868779) |
363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9393971) | |
Enumeration Date | 2008-12-31 |
Last Update Date | 2014-10-28 |