NPI | 1962948075 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR A004969) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A004969) |
Enumeration Date | 2017-01-12 |
Last Update Date | 2019-09-18 |