NPI | 1972782787 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP05306) |
Additional Taxonomies | 101Y00000X Counselor (Licence: LA AP05306) |
Enumeration Date | 2007-10-29 |
Last Update Date | 2016-08-16 |