NPI | 1144334863 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08704) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A001549) |
Enumeration Date | 2006-08-18 |
Last Update Date | 2023-05-25 |