NPI | 1922285469 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 77693) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2001015649) |
363LF0000X Nurse Practitioner, Family (Licence: KS 46156) | |
Enumeration Date | 2008-01-28 |
Last Update Date | 2024-06-24 |