NPI | 1568098341 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020008409) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2010002684) |
Enumeration Date | 2020-03-12 |
Last Update Date | 2020-03-12 |