NPI | 1548704604 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A003766) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AR A003766) |
Enumeration Date | 2016-12-08 |
Last Update Date | 2016-12-08 |