NPI | 1538420971 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 201402770NP-PP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WY 28919.1185) |
Enumeration Date | 2012-06-01 |
Last Update Date | 2020-11-04 |