NPI | 1467683060 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004437) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5004437) |
Enumeration Date | 2009-07-30 |
Last Update Date | 2022-11-23 |