NPI | 1295074615 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2013000999) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 201300099) |
Enumeration Date | 2013-02-05 |
Last Update Date | 2023-08-31 |