NPI | 1952858771 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R223869) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024173945) |
Enumeration Date | 2016-09-09 |
Last Update Date | 2016-11-09 |