NPI | 1972966992 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0992352) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1617166) |
Enumeration Date | 2016-03-29 |
Last Update Date | 2020-03-06 |