NPI | 1346481181 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11028997) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002824A) |
363LF0000X Nurse Practitioner, Family (Licence: IL 209007584) | |
Enumeration Date | 2009-03-06 |
Last Update Date | 2024-02-09 |