NPI | 1982817433 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000172) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA UP004049B) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2007-11-13 |