NPI | 1679027494 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08850) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN129927) |
Enumeration Date | 2016-08-10 |
Last Update Date | 2016-08-10 |