NPI | 1184213068 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL APRN11009177) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11009177) |
Enumeration Date | 2021-01-14 |
Last Update Date | 2021-07-27 |