NPI | 1811949266 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001708) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD CP001708) |
363LF0000X Nurse Practitioner, Family (Licence: TX AP127468) | |
363LF0000X Nurse Practitioner, Family (Licence: MN R-194623-1) | |
Enumeration Date | 2006-05-16 |
Last Update Date | 2022-10-13 |