NPI | 1447804463 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 903356) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: AL MD33077) |
Enumeration Date | 2019-07-29 |
Last Update Date | 2020-09-08 |