NPI | 1952520876 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP009544) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F335128-1) |
363LF0000X Nurse Practitioner, Family (Licence: DE LP0000358) | |
Enumeration Date | 2007-04-25 |
Last Update Date | 2020-07-01 |