NPI | 1013169945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A003834) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R79461) |
363LF0000X Nurse Practitioner, Family (Licence: AR ATP-000527) | |
Enumeration Date | 2008-10-22 |
Last Update Date | 2022-05-25 |