NPI | 1609833326 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5003910) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 185310) |
363LF0000X Nurse Practitioner, Family (Licence: SC 2172) | |
Enumeration Date | 2006-04-27 |
Last Update Date | 2025-05-22 |