NPI | 1538601471 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 064827-23) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH FO21667) |
Enumeration Date | 2016-11-09 |
Last Update Date | 2022-01-09 |