NPI | 1932116803 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO RXN99-28) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 98275) |
Enumeration Date | 2006-08-02 |
Last Update Date | 2008-06-17 |