NPI | 1336467653 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-062866) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-062866) |
Enumeration Date | 2010-05-11 |
Last Update Date | 2021-12-02 |