NPI | 1780810507 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 3902) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 3902) |
Enumeration Date | 2009-06-08 |
Last Update Date | 2023-12-18 |