NPI | 1659741106 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT 100886) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 45063) |
Enumeration Date | 2015-09-28 |
Last Update Date | 2019-07-23 |