NPI | 1851823694 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2017009930) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KS 53-77627-052) |
Enumeration Date | 2017-03-31 |
Last Update Date | 2018-09-21 |