NPI | 1639422363 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP012448) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA RN555938) |
Enumeration Date | 2012-10-18 |
Last Update Date | 2024-01-02 |