NPI | 1295192151 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 901437) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MS 901437) |
Enumeration Date | 2016-01-24 |
Last Update Date | 2016-03-15 |