NPI | 1699099812 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R41324) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 3368492) |
Enumeration Date | 2010-03-17 |
Last Update Date | 2024-12-17 |