NPI | 1932541885 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 105175-7460) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: LA AP07460) |
Enumeration Date | 2013-07-19 |
Last Update Date | 2024-03-15 |