NPI | 1750412003 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP 02060) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN 043469) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2013-08-05 |