NPI | 1922273945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2009005933) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-46188-072) |
Enumeration Date | 2008-04-30 |
Last Update Date | 2014-08-26 |