NPI | 1538165733 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 201380) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 201380) |
Enumeration Date | 2005-06-22 |
Last Update Date | 2020-12-17 |