NPI | 1538322060 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-868A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 200850072NP) |
363L00000X Nurse Practitioner (Licence: ID NP-868A) | |
Enumeration Date | 2008-07-03 |
Last Update Date | 2020-12-29 |