NPI | 1134632334 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61182743) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007707A) |
363LF0000X Nurse Practitioner, Family (Licence: PA SP027481) | |
363LF0000X Nurse Practitioner, Family (Licence: IL 209019187) | |
Enumeration Date | 2017-11-09 |
Last Update Date | 2024-12-02 |