NPI | 1285461780 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024040624) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO F03240136) |
Enumeration Date | 2024-09-18 |
Last Update Date | 2024-11-21 |