NPI | 1124469085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95008587) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5092) |
363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012577) | |
363LF0000X Nurse Practitioner, Family (Licence: NC 5019313) | |
Enumeration Date | 2013-07-08 |
Last Update Date | 2025-05-30 |