NPI | 1659787828 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5007042) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 246203) |
Enumeration Date | 2014-07-08 |
Last Update Date | 2017-03-13 |