NPI | 1962879296 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7559) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 7559) |
Enumeration Date | 2015-08-21 |
Last Update Date | 2022-02-25 |