NPI | 1861882433 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11004448) |
Additional Taxonomies | 104100000X Social Worker |
163WC0400X Registered Nurse, Case Management (Licence: FL 9496632) | |
363LF0000X Nurse Practitioner, Family (Licence: FL 09191099) | |
Enumeration Date | 2015-02-03 |
Last Update Date | 2023-11-08 |