NPI | 1316293012 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP012156) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP012156) |
Enumeration Date | 2012-07-31 |
Last Update Date | 2021-05-04 |