NPI | 1992947196 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP008255) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R066265) |
Enumeration Date | 2009-04-02 |
Last Update Date | 2009-04-07 |