NPI | 1972676260 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0001104654) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024104654) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2007-07-08 |