NPI | 1295903623 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 102512) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 44592) |
Enumeration Date | 2008-02-19 |
Last Update Date | 2020-11-25 |