NPI | 1538460688 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 20861) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 234690) |
163W00000X Registered Nurse (Licence: NC 234690) | |
Enumeration Date | 2010-11-05 |
Last Update Date | 2022-07-21 |