NPI | 1295901841 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202213249NP-PP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA R118574) |
363LF0000X Nurse Practitioner, Family (Licence: WA AP60255922) | |
Enumeration Date | 2008-05-05 |
Last Update Date | 2022-12-02 |