NPI | 1821268137 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71002610A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3012887) |
Enumeration Date | 2008-03-04 |
Last Update Date | 2022-06-09 |