NPI | 1225575087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008686A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004206) |
Enumeration Date | 2017-01-31 |
Last Update Date | 2023-11-27 |