NPI | 1295355709 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 5015591) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 292295) |
Enumeration Date | 2020-04-24 |
Last Update Date | 2022-06-02 |