NPI | 1821382631 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07281) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R864865) |
Enumeration Date | 2011-06-09 |
Last Update Date | 2016-09-26 |