NPI | 1770994972 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 18593) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5007059) |
363LF0000X Nurse Practitioner Family (Licence: NC 5007059) | |
Enumeration Date | 2014-05-12 |
Last Update Date | 2020-05-02 |