NPI | 1649694183 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R859946) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS R859946) |
Enumeration Date | 2014-02-04 |
Last Update Date | 2015-09-02 |