NPI | 1356885453 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209.015164) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209015164) |
Enumeration Date | 2016-12-07 |
Last Update Date | 2017-09-08 |