NPI | 1780789206 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 070291) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 070291) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2014-10-09 |