NPI | 1578543997 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 201053) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 61706) |
Enumeration Date | 2006-01-20 |
Last Update Date | 2021-11-10 |