NPI | 1093137820 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 064938-23) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH 064938-23) |
Enumeration Date | 2014-01-14 |
Last Update Date | 2023-06-26 |