NPI | 1215984174 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP00375) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R22072) |
Enumeration Date | 2006-05-27 |
Last Update Date | 2020-09-09 |