NPI | 1609900836 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009895A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 129711) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2020-04-24 |