NPI | 1366704488 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5005656) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5005656) |
Enumeration Date | 2012-06-14 |
Last Update Date | 2023-09-11 |