NPI | 1033659859 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2017013397) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016034064) |
363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2017013397) | |
Enumeration Date | 2017-02-27 |
Last Update Date | 2023-05-15 |