NPI | 1790193308 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000768) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0032179) |
363L00000X Nurse Practitioner (Licence: DE LG-0000768) | |
Enumeration Date | 2014-07-28 |
Last Update Date | 2014-07-28 |