NPI | 1104856319 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP007897) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP007897) |
Enumeration Date | 2006-07-04 |
Last Update Date | 2021-07-02 |