NPI | 1578670840 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 7344974-4405) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 167224) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2023-07-31 |