NPI | 1508311960 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016348) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP016348) |
Enumeration Date | 2016-08-15 |
Last Update Date | 2019-04-24 |