NPI | 1053686998 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5005574) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5005574) |
Enumeration Date | 2012-03-11 |
Last Update Date | 2023-05-04 |