NPI | 1497947717 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS R871604) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201809506RN) |
363L00000X Nurse Practitioner (Licence: LA APO5313) | |
Enumeration Date | 2007-08-10 |
Last Update Date | 2025-03-20 |