NPI | 1740268028 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP2940) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA AP30007062) |
Enumeration Date | 2006-01-05 |
Last Update Date | 2010-04-13 |