NPI | 1144796236 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD F10181059) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MD F10181059) |
Enumeration Date | 2018-10-16 |
Last Update Date | 2019-11-23 |