NPI | 1023396900 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP001180) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN623381) |
363L00000X Nurse Practitioner (Licence: MN R198045-9) | |
363LF0000X Nurse Practitioner, Family (Licence: PA SP011508) | |
Enumeration Date | 2011-07-27 |
Last Update Date | 2019-10-31 |