NPI | 1134545148 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA F0214189) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 160608) |
Enumeration Date | 2014-03-14 |
Last Update Date | 2023-03-30 |