NPI | 1477036556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010988) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NC 164596) |
Enumeration Date | 2018-09-13 |
Last Update Date | 2018-09-19 |