NPI | 1457767188 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC001878) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0033097) |
363LF0000X Nurse Practitioner, Family (Licence: DE L1-0033097) | |
Enumeration Date | 2014-07-02 |
Last Update Date | 2024-08-30 |