NPI | 1417269234 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11010398) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2010-07-09 |
Last Update Date | 2021-09-03 |