NPI | 1952510331 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008841A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 9684) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2022-05-26 |