NPI | 1629565676 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE L1-0033185) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0033185) |
Enumeration Date | 2018-04-16 |
Last Update Date | 2018-04-16 |