NPI | 1629403837 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07546) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN118240) |
Enumeration Date | 2013-09-06 |
Last Update Date | 2019-05-27 |