NPI | 1851498307 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2001028798) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 45381) |
Enumeration Date | 2006-09-19 |
Last Update Date | 2018-06-21 |