NPI | 1801308705 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 112361) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 2022) |
Enumeration Date | 2017-11-01 |
Last Update Date | 2019-06-11 |