NPI | 1659617645 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 227141) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5006002) |
Enumeration Date | 2012-12-18 |
Last Update Date | 2023-08-22 |