NPI | 1497716476 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP539A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 813271) |
Enumeration Date | 2006-03-30 |
Last Update Date | 2023-03-07 |