NPI | 1285117937 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-130940) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 1-130940) |
Enumeration Date | 2018-09-10 |
Last Update Date | 2023-06-29 |