NPI | 1184257818 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 827657) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID TEMP63583) |
Enumeration Date | 2020-02-21 |
Last Update Date | 2020-02-21 |