NPI | 1922445212 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010447) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F337846) |
Enumeration Date | 2013-05-28 |
Last Update Date | 2022-09-06 |