NPI | 1659772473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9322962) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5007154) |
Enumeration Date | 2014-09-11 |
Last Update Date | 2018-08-17 |