NPI | 1215318464 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015020547) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2008018494) |
Enumeration Date | 2015-06-13 |
Last Update Date | 2024-10-09 |