NPI | 1881131308 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R193190) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R193190) |
Enumeration Date | 2017-01-23 |
Last Update Date | 2019-08-14 |