NPI | 1558811216 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: LA AP08845) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: LA AP08845) |
Enumeration Date | 2016-10-06 |
Last Update Date | 2022-06-17 |