NPI | 1225421902 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008554) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 337211) |
Enumeration Date | 2015-03-05 |
Last Update Date | 2022-07-21 |