NPI | 1609279082 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9467859) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3008973) |
363LF0000X Nurse Practitioner, Family (Licence: KY 3008973) | |
Enumeration Date | 2014-09-30 |
Last Update Date | 2019-12-03 |