NPI | 1447785282 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017021164) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2009020161) |
Enumeration Date | 2017-05-01 |
Last Update Date | 2017-06-27 |