NPI | 1003299090 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA 2283838) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 2283838) |
Enumeration Date | 2015-07-08 |
Last Update Date | 2023-05-31 |