NPI | 1598230195 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A005644) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: AR R089200) |
Enumeration Date | 2018-10-10 |
Last Update Date | 2022-06-22 |