NPI | 1013282987 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1116478) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1116478) |
Enumeration Date | 2012-03-12 |
Last Update Date | 2021-06-24 |