NPI | 1184925869 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2008030034) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-75231-041) |
Enumeration Date | 2010-11-11 |
Last Update Date | 2024-08-28 |