NPI | 1154706299 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC ARNP20152) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9268422) |
Enumeration Date | 2015-07-29 |
Last Update Date | 2023-03-15 |