NPI | 1902086507 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5003876) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 203059) |
Enumeration Date | 2007-11-12 |
Last Update Date | 2023-05-09 |