NPI | 1932434834 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R165300) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5013205) |
Enumeration Date | 2009-10-09 |
Last Update Date | 2020-09-01 |