NPI | 1225275159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004163) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5004163) |
Enumeration Date | 2009-01-14 |
Last Update Date | 2023-06-07 |