NPI | 1457336471 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MT 18221) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: TX 599778) |
Enumeration Date | 2005-12-13 |
Last Update Date | 2023-11-27 |