NPI | 1205154952 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 203824) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 4163) |
Enumeration Date | 2010-05-05 |
Last Update Date | 2020-09-09 |