NPI | 1194335729 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1088782) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN 27937) |
Enumeration Date | 2020-08-07 |
Last Update Date | 2022-09-12 |