NPI | 1760762322 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015899) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1008964) |
363LF0000X Nurse Practitioner, Family (Licence: MD R174342) | |
Enumeration Date | 2011-08-26 |
Last Update Date | 2021-08-18 |