NPI | 1467950956 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 112417) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 76102) |
Enumeration Date | 2018-01-30 |
Last Update Date | 2020-08-04 |