NPI | 1417219338 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09555) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: LA RN108342) |
Enumeration Date | 2012-06-15 |
Last Update Date | 2022-07-21 |