NPI | 1053786558 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5008195) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC F0815168) |
363LF0000X Nurse Practitioner, Family (Licence: NC 5008195) | |
Enumeration Date | 2015-12-09 |
Last Update Date | 2024-07-25 |