NPI | 1477041762 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP018615) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018615) |
Enumeration Date | 2018-04-23 |
Last Update Date | 2019-05-29 |