NPI | 1598764250 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 201763) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 2102) |
Enumeration Date | 2005-07-15 |
Last Update Date | 2024-09-12 |