NPI | 1538390414 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 295365) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704224923) |
363LF0000X Nurse Practitioner, Family (Licence: AZ 295365) | |
Enumeration Date | 2009-07-27 |
Last Update Date | 2024-04-18 |