NPI | 1467639278 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2010013174) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2010013174) |
Enumeration Date | 2008-01-23 |
Last Update Date | 2022-01-11 |