NPI | 1295251494 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 112316) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A148681) |
Enumeration Date | 2017-08-18 |
Last Update Date | 2017-12-12 |