NPI | 1902337280 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A005093) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R071528) |
Enumeration Date | 2017-03-27 |
Last Update Date | 2022-07-21 |