NPI | 1346724887 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A005855) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 107036) |
Enumeration Date | 2018-09-20 |
Last Update Date | 2022-07-26 |