NPI | 1457590507 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011298) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5011298) |
Enumeration Date | 2009-02-12 |
Last Update Date | 2024-06-05 |