NPI | 1720084213 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0011542) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0067018) |
207Q00000X Family Medicine (Licence: OR 201806701NP-PP) | |
363LF0000X Nurse Practitioner, Family (Licence: WA AP60763596) | |
363LF0000X Nurse Practitioner, Family (Licence: MA RN2333723) | |
207Q00000X Family Medicine (Licence: SC APRN2467) | |
Enumeration Date | 2005-06-21 |
Last Update Date | 2024-04-29 |