NPI | 1235379272 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2006037989) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 46237) |
Enumeration Date | 2009-03-04 |
Last Update Date | 2017-12-08 |