NPI | 1194430561 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 220130) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 225299) |
Enumeration Date | 2023-01-19 |
Last Update Date | 2023-01-19 |