NPI | 1386341543 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0100537-C-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01431100) |
Enumeration Date | 2023-02-08 |
Last Update Date | 2023-11-21 |