NPI | 1366840332 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9213653) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9213653) |
Enumeration Date | 2014-12-08 |
Last Update Date | 2016-02-09 |