NPI | 1609199629 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS R874330) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT 146976) |
Enumeration Date | 2010-03-04 |
Last Update Date | 2024-10-24 |