NPI | 1699139295 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9176767) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9176767) |
Enumeration Date | 2016-04-09 |
Last Update Date | 2016-09-16 |