NPI | 1043823222 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 20200224629) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 20200224629) |
Enumeration Date | 2020-08-26 |
Last Update Date | 2024-03-27 |