NPI | 1619307766 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC006532) |
Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: DE L1-0026433) |
363L00000X Nurse Practitioner (Licence: DE LG-0000638) | |
363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000638) | |
Enumeration Date | 2013-11-26 |
Last Update Date | 2024-05-01 |