NPI | 1750691812 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP06182) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN110773-AP06182) |
363LF0000X Nurse Practitioner, Family (Licence: MS 904786) | |
Enumeration Date | 2010-10-07 |
Last Update Date | 2023-01-04 |