NPI | 1043721087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 901671) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 901671) |
Enumeration Date | 2017-10-17 |
Last Update Date | 2020-07-30 |