NPI | 1013403583 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001400) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: SD F06181624) |
Enumeration Date | 2018-07-07 |
Last Update Date | 2022-04-25 |