NPI | 1124915236 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO IA-0008083738) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: MO IA-0008083738) |
Enumeration Date | 2025-06-20 |
Last Update Date | 2025-06-20 |