NPI | 1841567690 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-01882) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NM R37864) |
Enumeration Date | 2011-11-22 |
Last Update Date | 2025-05-30 |