NPI | 1083135479 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R38681) |
Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: ND R38681) |
Enumeration Date | 2017-07-06 |
Last Update Date | 2022-07-21 |