NPI | 1255770673 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 1909) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 111512) |
Enumeration Date | 2013-06-19 |
Last Update Date | 2018-05-03 |