NPI | 1740467174 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19311) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335383) |
Enumeration Date | 2008-01-29 |
Last Update Date | 2010-06-17 |