NPI | 1558608067 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 26862) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD CP001709) |
363LF0000X Nurse Practitioner, Family (Licence: MO 2013000129) | |
Enumeration Date | 2013-01-04 |
Last Update Date | 2023-03-27 |