NPI | 1194843870 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 40325) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 957) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2023-08-21 |