NPI | 1083385942 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 067789-23) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 295209) |
Enumeration Date | 2021-09-21 |
Last Update Date | 2024-03-21 |