NPI | 1982180337 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP10177) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN141440) |
Enumeration Date | 2018-07-18 |
Last Update Date | 2018-07-27 |