NPI | 1902953086 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC000236) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000344) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2007-07-08 |