NPI | 1083272181 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL Na) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-149358) |
Enumeration Date | 2019-06-03 |
Last Update Date | 2019-06-03 |