NPI | 1427406719 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015763) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8551) |
Enumeration Date | 2016-05-27 |
Last Update Date | 2022-08-19 |