NPI | 1467440792 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A084270) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 001096A) |
Enumeration Date | 2005-10-11 |
Last Update Date | 2023-07-27 |