NPI | 1750799920 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9469325) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209011292) |
Enumeration Date | 2014-07-31 |
Last Update Date | 2018-03-17 |