NPI | 1942724638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AR A005313) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR A005313) |
Enumeration Date | 2017-08-03 |
Last Update Date | 2019-12-11 |