NPI | 1417126897 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC NA) |
Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: NC 189759) |
207QA0505X Family Medicine, Adult Medicine (Licence: NC 189759) | |
207R00000X Internal Medicine (Licence: NC 189759) | |
208000000X Pediatrics (Licence: NC 189759) | |
2080A0000X Pediatrics, Adolescent Medicine (Licence: NC 189759) | |
Enumeration Date | 2008-02-29 |
Last Update Date | 2022-04-06 |