NPI | 1871991323 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 6262) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 191506) |
Enumeration Date | 2014-12-16 |
Last Update Date | 2015-03-03 |