NPI | 1780825208 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-069550) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AL 1-069550) |
Enumeration Date | 2009-03-12 |
Last Update Date | 2021-02-03 |