NPI | 1316440902 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9303889) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL RN9303889) |
Enumeration Date | 2018-03-09 |
Last Update Date | 2018-03-09 |