NPI | 1699126193 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A122897) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 122897) |
Enumeration Date | 2016-06-27 |
Last Update Date | 2020-07-24 |