NPI | 1528087830 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 1473) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WI 1473-33) |
363LF0000X Nurse Practitioner Family (Licence: FL 11005456) | |
Enumeration Date | 2006-07-18 |
Last Update Date | 2021-10-15 |