NPI | 1114534070 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 213180) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R092291) |
Enumeration Date | 2020-09-24 |
Last Update Date | 2021-10-14 |