NPI | 1558876656 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-096475) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9467161) |
Enumeration Date | 2017-12-11 |
Last Update Date | 2021-05-23 |