NPI | 1225587355 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 104697) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID 54187) |
Enumeration Date | 2016-09-30 |
Last Update Date | 2017-10-10 |