NPI | 1598286072 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-137813) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-137813) |
Enumeration Date | 2017-07-05 |
Last Update Date | 2024-09-12 |