NPI | 1972571008 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 296) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI 296) |
Enumeration Date | 2006-03-14 |
Last Update Date | 2015-07-23 |