NPI | 1770866360 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A03598) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A003598) |
Enumeration Date | 2011-09-21 |
Last Update Date | 2018-03-17 |