NPI | 1679857932 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS R856339) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R856339) |
Enumeration Date | 2011-10-05 |
Last Update Date | 2024-06-05 |