NPI | 1891040135 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 22900) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN2274503) |
Enumeration Date | 2012-07-23 |
Last Update Date | 2013-06-28 |