NPI | 1043613888 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WY 1357) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WY 1357) |
Enumeration Date | 2014-10-08 |
Last Update Date | 2024-09-03 |