NPI | 1073157038 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP020222) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP020222) |
Enumeration Date | 2019-11-03 |
Last Update Date | 2019-11-03 |