NPI | 1023393311 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IA A160608) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209009134) |
Enumeration Date | 2011-10-18 |
Last Update Date | 2024-04-18 |