NPI | 1033176714 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5012785) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2001029398) |
Enumeration Date | 2006-04-27 |
Last Update Date | 2020-02-19 |