NPI | 1396051249 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 22539) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 004423) |
Enumeration Date | 2010-08-28 |
Last Update Date | 2022-04-28 |