NPI | 1801148259 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP012426) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0012109) |
363LF0000X Nurse Practitioner, Family (Licence: MD R256254) | |
363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012109) | |
163W00000X Registered Nurse (Licence: DE L1-0070539) | |
163W00000X Registered Nurse (Licence: MD R256254) | |
363L00000X Nurse Practitioner (Licence: MD R256254) | |
Enumeration Date | 2012-10-10 |
Last Update Date | 2025-09-15 |