NPI | 1326673575 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 204297) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA 204297) |
Enumeration Date | 2020-03-09 |
Last Update Date | 2020-05-26 |