NPI | 1861745945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 254886) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704262332) |
363LF0000X Nurse Practitioner, Family (Licence: MI 4704262332) | |
363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02169) | |
Enumeration Date | 2012-10-26 |
Last Update Date | 2023-08-08 |