NPI | 1245772359 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R38295) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: ND R38295) |
Enumeration Date | 2016-11-07 |
Last Update Date | 2017-02-03 |