NPI | 1336686708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 216639) |
Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: AR S002305) |
Enumeration Date | 2017-01-24 |
Last Update Date | 2021-08-16 |