NPI | 1770801367 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP010813) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA sp010813) |
Enumeration Date | 2010-05-07 |
Last Update Date | 2023-06-12 |