NPI | 1487163796 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9336763) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9336763) |
Enumeration Date | 2017-09-29 |
Last Update Date | 2018-01-24 |