NPI | 1831246370 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R098458) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN66100) |
Enumeration Date | 2007-01-05 |
Last Update Date | 2012-02-10 |