NPI | 1528386034 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-01913) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R866255) |
Enumeration Date | 2010-05-07 |
Last Update Date | 2022-06-06 |