NPI | 1336791862 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 9627) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A155591) |
Enumeration Date | 2019-07-15 |
Last Update Date | 2019-12-04 |