NPI | 1538611231 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-128142) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1-128142) |
363LF0000X Nurse Practitioner, Family (Licence: TN apn0000020517) | |
Enumeration Date | 2016-10-28 |
Last Update Date | 2024-04-02 |