NPI | 1003287848 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015035184) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2015035184) |
Enumeration Date | 2015-10-19 |
Last Update Date | 2023-09-25 |