NPI | 1700083334 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 1707) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 1707) |
Enumeration Date | 2007-06-28 |
Last Update Date | 2022-03-02 |