NPI | 1538643101 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC002503) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0001200) |
163WG0000X Registered Nurse, General Practice (Licence: DE L1-0048177) | |
Enumeration Date | 2018-09-19 |
Last Update Date | 2018-11-10 |