NPI | 1023468188 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 24968) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 183521) |
363LF0000X Nurse Practitioner, Family (Licence: NC 5008640) | |
Enumeration Date | 2016-06-20 |
Last Update Date | 2022-02-07 |