NPI | 1083247613 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 815197) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: NV 815197) |
207QG0300X Family Medicine, Geriatric Medicine (Licence: NV 815197) | |
Enumeration Date | 2020-02-21 |
Last Update Date | 2020-03-19 |