NPI | 1023793031 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SD CP002840) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD CP002840) |
Enumeration Date | 2023-06-19 |
Last Update Date | 2023-09-07 |