NPI | 1851826580 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 56068) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID N38629) |
Enumeration Date | 2017-05-01 |
Last Update Date | 2017-06-28 |