NPI | 1700851136 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 17270) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP16442) |
363LF0000X Nurse Practitioner, Family (Licence: KS 44955) | |
Enumeration Date | 2006-02-21 |
Last Update Date | 2020-10-19 |