NPI | 1093250342 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC001839) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA AC001839) |
Enumeration Date | 2016-12-22 |
Last Update Date | 2023-03-16 |