NPI | 1316131345 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-53800) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-053800) |
363LX0106X Nurse Practitioner, Occupational Health (Licence: AL 1-053800) | |
363LX0106X Nurse Practitioner, Occupational Health (Licence: KY 3008002) | |
Enumeration Date | 2007-09-03 |
Last Update Date | 2021-12-23 |