NPI | 1063976793 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R202023) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R202023) |
Enumeration Date | 2019-01-28 |
Last Update Date | 2019-02-06 |