NPI | 1487137758 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP10085) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9383855) |
Enumeration Date | 2018-09-12 |
Last Update Date | 2018-09-12 |