NPI | 1588951164 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: UT 5163091-4405) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 5163091-4405) |
Enumeration Date | 2011-07-05 |
Last Update Date | 2022-03-25 |