NPI | 1760832943 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA AP08802) |
363LF0000X Nurse Practitioner, Family (Licence: LA AP08802) | |
Enumeration Date | 2016-06-17 |
Last Update Date | 2020-05-27 |