NPI | 1235876798 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC004800) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001275421) |
Enumeration Date | 2022-05-17 |
Last Update Date | 2024-09-28 |