NPI | 1063992238 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA F06181386) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: LA AP200083) |
Enumeration Date | 2018-08-17 |
Last Update Date | 2024-10-07 |