NPI | 1740609627 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 250214) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 250214) |
367A00000X Advanced Practice Midwife (Licence: NC 250214) | |
Enumeration Date | 2014-04-08 |
Last Update Date | 2024-07-15 |