NPI | 1245752419 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA F12191073) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN126431) |
Enumeration Date | 2017-07-10 |
Last Update Date | 2020-06-09 |