NPI | 1225548159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 3551-0) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006082) |
Enumeration Date | 2017-10-05 |
Last Update Date | 2024-11-12 |