NPI | 1588058895 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A004374) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR ATP000779) |
Enumeration Date | 2015-03-25 |
Last Update Date | 2025-08-19 |