NPI | 1124130224 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP00702) |
Additional Taxonomies | 176B00000X Midwife (Licence: NM 323) |
363L00000X Nurse Practitioner (Licence: CA RN704177) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2024-09-23 |