NPI | 1194232330 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: LA AP09675) |
Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: LA AP09675) |
Enumeration Date | 2018-01-09 |
Last Update Date | 2023-10-25 |