NPI | 1588670855 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP04071) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA AP04071) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2019-09-19 |