NPI | 1306292586 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008532) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5008532) |
Enumeration Date | 2016-05-06 |
Last Update Date | 2023-01-11 |