NPI | 1083221535 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020021048) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-81947-022) |
Enumeration Date | 2020-09-29 |
Last Update Date | 2023-02-17 |