NPI | 1902231962 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-093782) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-093782) |
Enumeration Date | 2013-09-10 |
Last Update Date | 2024-05-22 |