NPI | 1215151394 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 78999) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 1731352) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2024-09-30 |