NPI | 1821481938 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5007696) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172430) |
Enumeration Date | 2015-03-13 |
Last Update Date | 2015-07-02 |