NPI | 1497283055 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP022827) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP9779) |
Enumeration Date | 2017-05-26 |
Last Update Date | 2022-11-17 |