NPI | 1891345567 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11004110) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL F01191844) |
Enumeration Date | 2019-09-16 |
Last Update Date | 2019-09-18 |