NPI | 1437671823 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-106341) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-106341) |
Enumeration Date | 2017-07-07 |
Last Update Date | 2019-12-17 |