NPI | 1033578117 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2015040595) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015040595) |
Enumeration Date | 2016-02-17 |
Last Update Date | 2023-06-05 |