NPI | 1013623453 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 241721) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MT NUR-APRN-LIC-241721) |
Enumeration Date | 2023-01-30 |
Last Update Date | 2024-09-04 |