NPI | 1477000339 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09537) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN131280) |
Enumeration Date | 2016-09-07 |
Last Update Date | 2020-10-09 |