NPI | 1699883603 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 033420) |
Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: LA AP033420) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2024-08-30 |