NPI | 1821386186 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: LA RN105055-AP06495) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: LA AP06495) |
Enumeration Date | 2011-07-20 |
Last Update Date | 2023-12-22 |