NPI | 1679734172 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC ARNP9172603) |
Additional Taxonomies | 363LP1700X Nurse Practitioner, Perinatal (Licence: FL ARNP9172603) |
Enumeration Date | 2008-06-18 |
Last Update Date | 2019-11-21 |