NPI | 1528409976 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001880) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 338515) |
363LF0000X Nurse Practitioner, Family (Licence: MI 4704342551) | |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN1100629) | |
Enumeration Date | 2013-07-15 |
Last Update Date | 2020-03-12 |