NPI | 1487044376 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201604252NP-PP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00543200) |
Enumeration Date | 2015-01-29 |
Last Update Date | 2024-09-26 |