NPI | 1437669751 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-133947) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN226769) |
363LF0000X Nurse Practitioner, Family (Licence: AL 1-133947) | |
Enumeration Date | 2017-10-02 |
Last Update Date | 2024-04-30 |