NPI | 1790096642 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 1098) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 104155) |
Enumeration Date | 2010-06-25 |
Last Update Date | 2010-06-25 |