NPI | 1568727352 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MS 880108) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS R880108) |
363L00000X Nurse Practitioner (Licence: MS R880108) | |
Enumeration Date | 2012-07-09 |
Last Update Date | 2021-07-08 |