NPI | 1881829125 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2005001438) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209005323) |
Enumeration Date | 2009-05-15 |
Last Update Date | 2009-05-15 |