NPI | 1881648756 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A-059375) |
Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: IA A059375) |
Enumeration Date | 2006-05-22 |
Last Update Date | 2014-10-27 |