NPI | 1497188700 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP013054) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP013054) |
Enumeration Date | 2013-08-11 |
Last Update Date | 2023-05-15 |