NPI | 1083167357 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 201605588NP-PP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ID 57418) |
Enumeration Date | 2016-08-03 |
Last Update Date | 2022-04-19 |