NPI | 1679922918 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08872) |
Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: LA F0616045) |
Enumeration Date | 2016-06-07 |
Last Update Date | 2021-11-17 |