NPI | 1962945626 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL F1116490) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP140875) |
Enumeration Date | 2016-11-29 |
Last Update Date | 2019-12-02 |