NPI | 1073569828 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A01874) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R33544) |
Enumeration Date | 2006-05-25 |
Last Update Date | 2022-10-18 |