NPI | 1841709078 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: LA AP09269) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN134525) |
Enumeration Date | 2017-09-19 |
Last Update Date | 2017-09-19 |