NPI | 1881657567 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R158480) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30007541) |
Enumeration Date | 2006-04-11 |
Last Update Date | 2013-09-11 |