NPI | 1235704537 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10006209) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID 67450) |
Enumeration Date | 2021-05-20 |
Last Update Date | 2025-09-21 |