NPI | 1093928756 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R114397) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG0000432) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2025-07-16 |