NPI | 1881186781 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018021602) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2012002654) |
Enumeration Date | 2018-06-06 |
Last Update Date | 2018-06-21 |