NPI | 1598719163 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 200859) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 200859) |
Enumeration Date | 2006-05-19 |
Last Update Date | 2024-02-02 |