NPI | 1871079590 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5018951) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009478) |
363LF0000X Nurse Practitioner, Family (Licence: NC 5018951) | |
Enumeration Date | 2018-07-16 |
Last Update Date | 2024-11-12 |