NPI | 1770091753 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R154066) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R154066) |
Enumeration Date | 2018-01-12 |
Last Update Date | 2019-10-23 |