NPI | 1841741402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-136156) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-136156) |
Enumeration Date | 2016-10-19 |
Last Update Date | 2020-03-03 |