NPI | 1508865031 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95003320) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F301557) |
363LF0000X Nurse Practitioner Family (Licence: NY F333997) | |
Enumeration Date | 2005-07-18 |
Last Update Date | 2020-02-11 |