NPI | 1912383498 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 5530782-4405) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1613A) |
Enumeration Date | 2015-08-06 |
Last Update Date | 2023-08-29 |