NPI | 1245741677 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-140628) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1.140628) |
Enumeration Date | 2017-10-12 |
Last Update Date | 2020-02-28 |