NPI | 1861402224 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 71088) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61239730) |
363LF0000X Nurse Practitioner, Family (Licence: CA RN368937) | |
Enumeration Date | 2006-08-09 |
Last Update Date | 2024-10-21 |