NPI | 1932146313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 960062) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 19354) |
Enumeration Date | 2006-06-02 |
Last Update Date | 2021-04-02 |