NPI | 1184191108 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA UP005826B) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA UP580026B) |
Enumeration Date | 2018-10-29 |
Last Update Date | 2018-10-29 |