NPI | 1376679290 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R096840) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN52647) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2021-08-11 |