NPI | 1669986550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA 60811339) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01715) |
Enumeration Date | 2017-11-30 |
Last Update Date | 2019-09-25 |