NPI | 1962757302 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 17928) |
Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: SC 17928) |
Enumeration Date | 2012-07-23 |
Last Update Date | 2019-06-03 |