NPI | 1245014042 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 905829) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 229709) |
Enumeration Date | 2023-08-22 |
Last Update Date | 2024-09-25 |