NPI | 1760910665 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016005873) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 202114568NP-PP) |
363LF0000X Nurse Practitioner, Family (Licence: CA 95025644) | |
363LF0000X Nurse Practitioner, Family (Licence: NV 864516) | |
Enumeration Date | 2017-05-23 |
Last Update Date | 2024-08-27 |