NPI | 1992756043 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: IA 098606) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A-098606) |
Enumeration Date | 2006-05-13 |
Last Update Date | 2007-07-08 |