NPI | 1316019748 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3005032) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 71002795A) |
Enumeration Date | 2006-11-14 |
Last Update Date | 2020-12-08 |