NPI | 1609280833 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-100842) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 39646) |
Enumeration Date | 2014-06-16 |
Last Update Date | 2019-11-22 |