NPI | 1306390430 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 20227) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC DEFA-B904U1) |
363LF0000X Nurse Practitioner, Family (Licence: NC 5008816) | |
Enumeration Date | 2016-08-05 |
Last Update Date | 2023-08-09 |