NPI | 1295204618 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0100812) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139684) |
Enumeration Date | 2018-11-14 |
Last Update Date | 2023-10-31 |