NPI | 1316424666 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201805806NP-PP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID 58600) |
Enumeration Date | 2018-07-19 |
Last Update Date | 2018-07-19 |