NPI | 1669463857 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM R45196) |
Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NM CNP01077) |
Enumeration Date | 2005-11-04 |
Last Update Date | 2022-11-15 |