NPI | 1720030299 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0024164491) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 004368) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2010-08-17 |