NPI | 1023593282 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018035602) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 218118) |
Enumeration Date | 2018-10-03 |
Last Update Date | 2024-09-17 |