NPI | 1902258775 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9184208) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL APRN9184208) |
Enumeration Date | 2016-07-06 |
Last Update Date | 2020-01-30 |