NPI | 1871654996 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 034969-23-03) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 034969-21) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2008-05-04 |