NPI | 1023616877 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10007774) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 113353) |
Enumeration Date | 2020-10-14 |
Last Update Date | 2024-01-03 |