NPI | 1851327217 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R118050) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN39420) |
Enumeration Date | 2006-06-25 |
Last Update Date | 2011-09-07 |