NPI | 1528333127 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2012004441) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60777583) |
363LF0000X Nurse Practitioner, Family (Licence: AR A03676) | |
Enumeration Date | 2012-03-14 |
Last Update Date | 2022-07-27 |