NPI | 1235605676 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011093) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 5011093) |
Enumeration Date | 2018-10-23 |
Last Update Date | 2022-10-12 |