NPI | 1013503366 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 311883-8900) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 311883-4405) |
Enumeration Date | 2020-12-20 |
Last Update Date | 2023-03-17 |