NPI | 1255591368 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 12446) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 13002-33) |
Enumeration Date | 2008-06-12 |
Last Update Date | 2022-08-01 |