NPI | 1043633183 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP07608) |
Additional Taxonomies | 171000000X Military Health Care Provider (Licence: LA AP07608) |
Enumeration Date | 2014-01-24 |
Last Update Date | 2018-03-17 |