NPI | 1912557539 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 9405295) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL APRN9405295) |
Enumeration Date | 2019-09-16 |
Last Update Date | 2019-09-16 |