NPI | 1669469243 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 127607) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 127607) |
Enumeration Date | 2005-09-29 |
Last Update Date | 2018-09-02 |