NPI | 1023840782 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND 200913) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND F08240338) |
Enumeration Date | 2024-08-20 |
Last Update Date | 2024-09-25 |