NPI | 1811088776 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 16927) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP 7284) |
363LF0000X Nurse Practitioner, Family (Licence: TN apn0000011687) | |
Enumeration Date | 2006-09-27 |
Last Update Date | 2021-08-20 |