NPI | 1457504052 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11017112) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN 9203682) |
363LF0000X Nurse Practitioner, Family (Licence: TN 28453) | |
Enumeration Date | 2008-10-28 |
Last Update Date | 2024-03-09 |