NPI | 1841299062 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN0993671-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM NM CNP 00432) |
Enumeration Date | 2005-07-19 |
Last Update Date | 2021-05-27 |