NPI | 1710640800 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 217046) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AR 217046) |
Enumeration Date | 2021-10-15 |
Last Update Date | 2021-10-15 |