NPI | 1952628596 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN 1281) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 285331) |
Enumeration Date | 2010-04-21 |
Last Update Date | 2010-08-10 |