NPI | 1407015217 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5008849) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC 289424) |
363LF0000X Nurse Practitioner Family (Licence: FL ARNP3297982) | |
Enumeration Date | 2008-06-06 |
Last Update Date | 2023-11-09 |