NPI | 1871058834 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 203786) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: LA RN127060) |
Enumeration Date | 2019-02-04 |
Last Update Date | 2019-03-13 |