NPI | 1114094950 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA RN086647) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: LA 322854) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2024-04-04 |