NPI | 1578979233 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MN CNP4020) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 28190575A) |
Enumeration Date | 2014-07-02 |
Last Update Date | 2018-03-17 |