NPI | 1750684296 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5005016) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 203688) |
Enumeration Date | 2010-12-06 |
Last Update Date | 2020-03-03 |