NPI | 1669557138 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 51269) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 200804) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2023-03-07 |