NPI | 1447737127 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60954612) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01848) |
Enumeration Date | 2018-07-25 |
Last Update Date | 2021-08-13 |