NPI | 1093977902 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9275574) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA 30007923) |
Enumeration Date | 2008-07-01 |
Last Update Date | 2024-04-03 |