NPI | 1225004161 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA 102942) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 5201010) |
Enumeration Date | 2006-02-28 |
Last Update Date | 2023-01-16 |