NPI | 1548411580 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201350035NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-1141) |
363LF0000X Nurse Practitioner, Family (Licence: WA AP60755362) | |
Enumeration Date | 2008-10-08 |
Last Update Date | 2023-12-06 |