NPI | 1790123776 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9361506) |
Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: AL 1-101091) |
Enumeration Date | 2013-06-12 |
Last Update Date | 2024-03-13 |