NPI | 1285218099 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5014387) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F10191342) |
Enumeration Date | 2021-05-07 |
Last Update Date | 2023-04-11 |