NPI | 1174872626 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MS R879367) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS R879367) |
Enumeration Date | 2012-08-30 |
Last Update Date | 2022-03-22 |