NPI | 1467079541 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP11007838) |
Additional Taxonomies | 208D00000X General Practice (Licence: FL APRN11007838) |
Enumeration Date | 2020-07-06 |
Last Update Date | 2020-07-17 |