NPI | 1225500259 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CA np95020624) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 220421) |
Enumeration Date | 2019-01-02 |
Last Update Date | 2023-07-07 |