NPI | 1659770527 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R892944) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-126064) |
163W00000X Registered Nurse (Licence: MS R892944) | |
Enumeration Date | 2014-08-17 |
Last Update Date | 2025-07-24 |