NPI | 1932747441 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5012605) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5012605) |
Enumeration Date | 2019-12-16 |
Last Update Date | 2019-12-16 |