NPI | 1831448992 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO F0712667) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2012027235) |
Enumeration Date | 2012-09-05 |
Last Update Date | 2020-07-16 |