NPI | 1609413566 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015615) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5015615) |
363LF0000X Nurse Practitioner, Family (Licence: SC 23528) | |
363LF0000X Nurse Practitioner, Family (Licence: SC 251790) | |
Enumeration Date | 2019-12-10 |
Last Update Date | 2023-08-21 |