NPI | 1952627978 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 1848) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP05868) |
363LF0000X Nurse Practitioner, Family (Licence: TX 808329-12068) | |
Enumeration Date | 2010-04-15 |
Last Update Date | 2020-03-10 |