NPI | 1013206911 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 160288) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 990018) |
Enumeration Date | 2011-03-31 |
Last Update Date | 2023-10-13 |