NPI | 1639416829 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9234450) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5009214) |
Enumeration Date | 2013-01-09 |
Last Update Date | 2018-03-01 |