NPI | 1952654550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 290613) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201407547NP-PP) |
363LF0000X Nurse Practitioner, Family (Licence: NC 131489) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: OR 201407547NP-PP) | |
Enumeration Date | 2012-10-19 |
Last Update Date | 2023-06-16 |