NPI | 1295248003 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5010448) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 202003830NP-PP) |
363LF0000X Nurse Practitioner, Family (Licence: CA 95007929) | |
Enumeration Date | 2017-11-15 |
Last Update Date | 2022-10-04 |