NPI | 1851716963 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07702) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA TAP003214) |
Enumeration Date | 2014-02-26 |
Last Update Date | 2020-03-06 |