NPI | 1992011423 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5004299) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 156013) |
Enumeration Date | 2010-08-21 |
Last Update Date | 2024-08-07 |