NPI | 1750572848 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5016959) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F05220120) |
374U00000X Home Health Aide (Licence: NC HC2883) | |
Enumeration Date | 2007-08-05 |
Last Update Date | 2022-09-26 |