NPI | 1891282448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95012068) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: DC RN1028816) |
Enumeration Date | 2018-04-19 |
Last Update Date | 2019-10-08 |