NPI | 1730411224 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP05826) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA RN 080943) |
Enumeration Date | 2010-02-08 |
Last Update Date | 2014-01-17 |