NPI | 1356799852 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 162699) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC NC162699) |
Enumeration Date | 2016-05-25 |
Last Update Date | 2016-06-10 |