NPI | 1912139171 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 367032-4405) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 3670324405) |
363LF0000X Nurse Practitioner, Family (Licence: UT 367032-8900) | |
Enumeration Date | 2009-08-20 |
Last Update Date | 2013-01-15 |