NPI | 1417426958 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 902334) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-165268) |
Enumeration Date | 2018-11-14 |
Last Update Date | 2023-10-31 |