NPI | 1013405091 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R149850) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 23617) |
Enumeration Date | 2018-04-25 |
Last Update Date | 2022-08-08 |