NPI | 1033939079 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 074259-23) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH 074259-23) |
363LP2300X Nurse Practitioner, Primary Care (Licence: NH 074259-21) | |
Enumeration Date | 2024-10-15 |
Last Update Date | 2024-10-15 |