NPI | 1942620729 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08137) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN132225) |
Enumeration Date | 2014-04-21 |
Last Update Date | 2015-03-05 |