NPI | 1093377301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R41731) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R41731) |
363LF0000X Nurse Practitioner, Family (Licence: ND F06191900) | |
Enumeration Date | 2019-07-08 |
Last Update Date | 2023-12-26 |