NPI | 1730447954 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP011912) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0011545) |
Enumeration Date | 2012-04-25 |
Last Update Date | 2022-05-25 |