NPI | 1124832621 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 075202-21) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH F07230337) |
Enumeration Date | 2025-02-04 |
Last Update Date | 2025-06-04 |