NPI | 1578661799 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 110469) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A126152) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2020-10-29 |