NPI | 1871593111 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 97013) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 97013) |
363LF0000X Nurse Practitioner, Family (Licence: TN 0000006857) | |
Enumeration Date | 2005-07-28 |
Last Update Date | 2007-07-08 |