NPI | 1760687784 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA RN057591 AP03997) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP03997) |
Enumeration Date | 2007-06-19 |
Last Update Date | 2023-03-24 |