NPI | 1851370746 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP000200) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD 0200) |
Enumeration Date | 2006-01-10 |
Last Update Date | 2012-06-29 |