NPI | 1083370886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 224361) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN148803) |
Enumeration Date | 2021-11-16 |
Last Update Date | 2024-12-27 |