NPI | 1750983821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 216027) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN139705) |
Enumeration Date | 2020-11-12 |
Last Update Date | 2020-11-12 |