NPI | 1508343740 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9439340) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9439340) |
Enumeration Date | 2018-07-20 |
Last Update Date | 2020-03-13 |