NPI | 1306866157 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 100468) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT RN27140) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2023-11-27 |