NPI | 1396095899 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KS 75961) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR MH4719588) |
363LF0000X Nurse Practitioner Family (Licence: MO 2012031980) | |
Enumeration Date | 2012-09-12 |
Last Update Date | 2018-09-27 |