NPI | 1407357726 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-133403) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009667) |
Enumeration Date | 2018-02-22 |
Last Update Date | 2023-09-01 |