NPI | 1003834771 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1005286) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA np16396) |
363LF0000X Nurse Practitioner, Family (Licence: PA SP012851) | |
363LF0000X Nurse Practitioner, Family (Licence: FL 9318004) | |
Enumeration Date | 2006-07-18 |
Last Update Date | 2023-09-15 |