NPI | 1225522592 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010639) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 224424) |
Enumeration Date | 2018-06-19 |
Last Update Date | 2021-05-13 |