NPI | 1457611279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC004387) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 211708) |
Enumeration Date | 2012-05-26 |
Last Update Date | 2024-08-15 |