NPI | 1013578061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 22838) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 22838) |
Enumeration Date | 2019-06-20 |
Last Update Date | 2021-01-26 |