NPI | 1144707373 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AK 135536) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 135536) |
Enumeration Date | 2018-07-20 |
Last Update Date | 2024-10-31 |