NPI | 1790151355 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 6701) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 169833) |
Enumeration Date | 2015-08-18 |
Last Update Date | 2020-05-14 |