NPI | 1538582531 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 867044) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS r867044) |
Enumeration Date | 2014-01-27 |
Last Update Date | 2017-02-03 |