NPI | 1194166728 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006385) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 263822) |
363LF0000X Nurse Practitioner, Family (Licence: GA RN274795) | |
363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00578900) | |
Enumeration Date | 2013-07-11 |
Last Update Date | 2024-11-11 |