NPI | 1841578424 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5005227) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5005227) |
Enumeration Date | 2011-07-29 |
Last Update Date | 2021-10-18 |