NPI | 1174962468 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R176455) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R176455) |
Enumeration Date | 2013-06-19 |
Last Update Date | 2022-10-05 |