NPI | 1447202569 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012375) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00082300) |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024175353) | |
Enumeration Date | 2006-05-17 |
Last Update Date | 2023-09-07 |