NPI | 1609032184 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 3727) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 3727) |
Enumeration Date | 2008-08-04 |
Last Update Date | 2021-10-13 |