NPI | 1053835215 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 213394) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 076342-23) |
Enumeration Date | 2017-07-31 |
Last Update Date | 2024-06-10 |