NPI | 1831383322 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 057776-23) |
Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: NH 057776-23) |
363LA2200X Nurse Practitioner Adult Health (Licence: NH 057776-23) | |
Enumeration Date | 2007-08-28 |
Last Update Date | 2021-12-01 |