NPI | 1053652644 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07239) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA AP07239) |
Enumeration Date | 2013-03-07 |
Last Update Date | 2023-12-19 |