NPI | 1861931313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD 182791) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC 1015127) |
Enumeration Date | 2017-02-16 |
Last Update Date | 2017-02-16 |