NPI | 1669713442 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ID NP-1321A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95007586) |
Enumeration Date | 2013-03-04 |
Last Update Date | 2024-05-16 |