NPI | 1194208363 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 085125-23) |
Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: MA RN2279572) |
Enumeration Date | 2018-09-12 |
Last Update Date | 2023-04-26 |