NPI | 1760952766 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11000384) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 11000384) |
Enumeration Date | 2018-12-03 |
Last Update Date | 2019-02-07 |