NPI | 1124303755 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5005368) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5005368) |
Enumeration Date | 2011-10-14 |
Last Update Date | 2024-07-24 |