NPI | 1235567751 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5016567) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5016567) |
363L00000X Nurse Practitioner (Licence: FL ARNP9252525) | |
363LF0000X Nurse Practitioner, Family (Licence: WA AP60638145) | |
Enumeration Date | 2013-10-18 |
Last Update Date | 2023-10-06 |