NPI | 1003180423 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP-01570) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-01570) |
Enumeration Date | 2012-03-02 |
Last Update Date | 2019-03-01 |