NPI | 1174072664 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: MD R196121) |
Additional Taxonomies | 171000000X Military Health Care Provider |
363LF0000X Nurse Practitioner, Family (Licence: MD R196121) | |
Enumeration Date | 2016-09-26 |
Last Update Date | 2025-04-07 |