NPI | 1760831358 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000951) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0035833) |
Enumeration Date | 2016-06-06 |
Last Update Date | 2016-08-01 |