NPI | 1467860304 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014029920) |
Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: MO F0714592) |
Enumeration Date | 2014-07-23 |
Last Update Date | 2024-01-05 |