NPI | 1881996353 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004993) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 20566) |
Enumeration Date | 2010-12-03 |
Last Update Date | 2024-02-26 |