NPI | 1821441775 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008734) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5008734) |
363LF0000X Nurse Practitioner, Family (Licence: MA RN2272994) | |
Enumeration Date | 2016-07-15 |
Last Update Date | 2019-02-27 |