NPI | 1023682580 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 63716) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM 63716) |
Enumeration Date | 2021-05-18 |
Last Update Date | 2023-08-22 |