NPI | 1013484187 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WY 32618.1822) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 174707) |
Enumeration Date | 2018-10-26 |
Last Update Date | 2022-10-04 |