NPI | 1891910188 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS A810255) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A01635) |
Enumeration Date | 2007-04-13 |
Last Update Date | 2014-04-14 |