NPI | 1144202383 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9483357) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: DC 3268080889) |
363LF0000X Nurse Practitioner, Family (Licence: MD r115117) | |
Enumeration Date | 2005-11-15 |
Last Update Date | 2022-09-28 |