NPI | 1780932319 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010270) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5010270) |
Enumeration Date | 2012-08-29 |
Last Update Date | 2021-11-24 |