NPI | 1669683637 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 088930-23) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 333920) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2023-05-24 |