NPI | 1730393893 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 900315) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024164830) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2024-01-22 |