NPI | 1366437873 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA TP004698B) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA TP004698B) |
Enumeration Date | 2005-09-12 |
Last Update Date | 2021-07-15 |