NPI | 1932267903 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R227097) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG0000347) |
Enumeration Date | 2006-12-04 |
Last Update Date | 2024-05-31 |