NPI | 1366776155 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-03370) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3461) |
363LF0000X Nurse Practitioner, Family (Licence: ME AP111076) | |
363LF0000X Nurse Practitioner, Family (Licence: MA RN2285633) | |
Enumeration Date | 2009-09-25 |
Last Update Date | 2019-02-11 |