NPI | 1912405820 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-146246) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0103575-C-NP) |
363LF0000X Nurse Practitioner, Family (Licence: WV 122070) | |
Enumeration Date | 2018-01-25 |
Last Update Date | 2025-07-10 |