NPI | 1992162515 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08630) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN134230) |
Enumeration Date | 2016-01-27 |
Last Update Date | 2016-01-27 |