NPI | 1740277615 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LD0000107) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD AC000077) |
Enumeration Date | 2005-10-05 |
Last Update Date | 2011-06-15 |