NPI | 1982979720 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A003654) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A003654) |
Enumeration Date | 2012-03-13 |
Last Update Date | 2018-06-26 |