NPI | 1699858837 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 1127) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA RN100396NP) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2024-11-03 |