NPI | 1700288545 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R126335) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R126335) |
Enumeration Date | 2014-09-24 |
Last Update Date | 2019-07-22 |